Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bluegrass Area Development District (NPI 1598881575)

Field	Value
Entity Type	Organization
Organization	Bluegrass Area Development District
Address	699 Perimeter Dr
City	Lexington
State	KY
ZIP	40517
Taxonomy	Case Management Agency
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$75.4M
Medicare	$0

Key Findings

BLUEGRASS AREA DEVELOPMENT DISTRICT shows effectively single-payer activity: it has no Medicare billing on file and all recorded lifetime revenue is Medicaid-based at $75.4M, indicating the organization operates primarily within Medicaid-funded programs rather than Medicare fee-for-service lines. This concentration implies its business model and cash flow depend heavily on state Medicaid program reimbursements and related waiver or community service funding streams.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes together account for 91.6% of total Medicaid revenue, with T1019 alone representing $46.5M (61.7% of total) and 223.4K claims. This concentration signals that personal care services are the principal revenue driver and that disruptions to reimbursement, utilization, or policy for those codes could materially affect the provider's financials.

The code mix reflects a service-line focus on hands-on personal and rehabilitative support: T1019 (personal care services), 97535 (therapeutic instruction/retraining), and T2022 (case management) together dominate revenue. That combination suggests the provider is largely organized around long-duration, community-based personal care and rehabilitation support with an embedded case management function, consistent with the Case Management Agency taxonomy.

Competitive standing in-state varies by code: for T1019 the provider ranks #9 of 51 in Kentucky (84th percentile), meaning it is a sizeable but not dominant provider of personal care compared with peers. For 97535 it ranks #13 of 305 (96th percentile), indicating very high relative volume for therapeutic instruction services among in-state peers. For T2022 it ranks #24 of 81 (71st percentile), a solid but not leading position in case management volume. These ranks depict a strong regional presence for therapy/instruction and a meaningful role in personal care.

Per-claim reimbursement patterns show standard Medicaid pricing tiers for the dominant services: T1019 averages $208 paid/claim, 97535 averages $114 paid/claim, and T2022 averages $273 paid/claim. Those per-claim rates combined with high claim counts (223.4K and 166K claims respectively) explain how a modest rate structure can scale to large Medicaid revenue when service volume is high, reinforcing that operations are volume-driven rather than reliant on high per-unit reimbursement.

Operational breadth includes complementary home- and community-based services beyond the top three codes: material billing for T1005 (respite care), S5108 (home care training), T2040 (financial management, self-directed waiver support), and smaller volumes for H2015 and S5130. This spread suggests BLUEGRASS provides an array of waiver and community support services typically bundled around personal care and supports for people in home-based settings.

The provider has long tenure in the NPI registry, enumerated since 2007-03-22 (~19 years ago), which supports that its Medicaid footprint and established service lines are not recent experiments but sustained operations. Long tenure combined with concentrated Medicaid revenue indicates institutional experience with state program billing and likely established administrative processes for high-volume codes.

Relative percentile signals should be interpreted as typical rather than extreme for several codes: the dataset describes volumes for many codes as "typical, unremarkable" at their percentiles (for example T1019 and 97535). This means that while the provider is a major revenue generator for specific in-state services, its coding and utilization patterns generally fall within expected ranges for peers rather than representing outlier clinical or billing behavior.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	223,440	$210	$46.5M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	165,960	$110	$18.9M
T2022	Case management, per month	13,340	$270	$3.6M
T1005	Respite care services, up to 15 minutes	33,270	$70	$2.3M
S5108	Home care training to home care client, per 15 minutes	20,190	$100	$1.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	18,110	$100	$1.9M
H2015	Comprehensive community support services, per 15 minutes	4,380	$30	$113.8K
S5130	Homemaker service, nos; per 15 minutes	1,270	$60	$73.6K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kentucky Distribution

Bluegrass Area Development District — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	71	100	43,820	$140	$16.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	9	50	13,600	$140	$11.1M
T2022	Case management, per month	24	80	7,120	$290	$4.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	13	310	830	$120	$3.7M
T2040	Financial management, self-directed, waiver; per 15 minutes	19	40	14,910	$160	$3.5M
T1005	Respite care services, up to 15 minutes	8	80	2,880	$70	$799.2K
H2015	Comprehensive community support services, per 15 minutes	58	200	1,610	$80	$585.6K
S5130	Homemaker service, nos; per 15 minutes	4	10	5,600	$50	$316.7K

Nearby Providers

Other providers in the same ZIP code as Bluegrass Area Development District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Medical Services Foundation, Inc	KY	Internal Medicine Physician	$0	$110.4M
Bluegrass Area Development District	KY	Supports Brokerage Agency	$0	$65.3M
Afton Communiy Day, Inc.	KY	Adult Day Care Clinic/Center	$0	$56M
Baptist Health Medical Group Inc	KY	Nurse Practitioner	$0	$54.1M
Families Hope, LLC	KY	Adult Care Home Facility	$0	$19.4M
Central Kentucky Radiology PLLC	KY	Diagnostic Radiology Physician	$0	$17.6M
Lionheart Trauma Support Services, LLC	KY	Clinical Social Worker	$0	$3.5M
Johannes Evans	KY	Ophthalmology Physician	$291.9K	$588.5K
David Blandford	KY	Ophthalmology Physician	$260.1K	$58.1K
William Curtis	KY	Ophthalmology Physician	$216.2K	$84.2K

Bluegrass Area Development District — Billing Profile & Reimbursement Data

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Bluegrass Area Development District — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References